Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain

Gombatto, Sara P.; Collins, David R.; Sahrmann, Shirley A.; Engsberg, Jack R.; Dillen, Linda R. Van

doi:10.1016/j.clinbiomech.2005.11.002

Cited by 91 publications

(115 citation statements)

References 35 publications

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“…J Orthop Sports Phys Ther 2007;37 (12) test of active hip lateral rotation have also been identified. 9 The results of the Gombatto et al 9 study are of particular interest because the findings suggest that men and women may move differently during standardized clinical tests of movement. A better understanding of possible gender differences in movement of the lumbopelvic region during clinical tests could assist in better directing examination and intervention of people with LBP, with the ultimate goal of improving outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…3,8,11 If tissue stiffness plays a role in early lumbopelvic movement during clinical tests, then potentially men and women may display different movements during testing. Gender differences in limb tissue stiffness and reported gender differences with the clinical test of hip lateral rotation in prone 9 would suggest that men and women may move differently during certain movement tests included in the examination based on Sahrmann's model of LBP. 25 In particular, men and women may move differently during tests that involve limb movement or are potentially affected by limb tissue stiffness.…”

Section: Discussionmentioning

confidence: 99%

“…2,15,18,23,24,26 Principles of the physical stress theory also would suggest that an increase in frequency of movement of a specific region across the day may contribute to increased stress on biological tissues, leading to injury and eventually pain. 21 Although data suggest that people with LBP display early lumbopelvic movement with various clinical tests, 6,9,33,36 currently the factors contributing to the early movement are not fully understood. One possible contribution is passive tissue stiffness, which is defined as the ratio of change in passive resistance to change in displacement.…”

Section: Discussionmentioning

confidence: 99%

“…For example, during the clinical test of hip lateral rotation in prone, the lumbopelvic region may move early during hip rotation if stiffness of the hip is greater than stiffness of the lumbopelvic region. 9 Investigators have reported that, compared to women, men demonstrate greater active and passive stiffness of the lower limbs. 3,8,11 If tissue stiffness plays a role in early lumbopelvic movement during clinical tests, then potentially men and women may display different movements during testing.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Scholtes¹,

Dillen²

2007

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Scholtes¹,

Dillen²

2007

J Orthop Sports Phys Ther

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“…There are several reports utilizing motion analysis for subjects with and without LBP with regard to interactions with the lower extremities [13][14][15]. As Bouisset initially proposed, stabilization of the pelvis and trunk is necessary for all movements of the upper and lower extremities [16].…”

Section: Introductionmentioning

confidence: 99%

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

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Even though a number of studies have evaluated postural adjustments based on kinematic changes in subjects with low back pain (LBP), kinematic stability has not been examined for abnormal postural responses during the one leg standing test. The purpose of this study was to evaluate the relative kinematic stability of the lower extremities and standing duration in subjects with and without chronic LBP. In total, 54 subjects enrolled in the study, including 28 subjects without LBP and 26 subjects with LBP. The average age of the subjects was 37.8 ± 12.6 years and ranged from 19 to 63 years. The outcome measures included normalized holding duration and relative kinematic stability. All participants were asked to maintain the test position without visual input (standing on one leg with his/her eyes closed and with the contra lateral hip flexed 90°) for 25 s. The age variable was used as a covariate to control confounding effects for the data analyses. The control group demonstrated significantly longer holding duration times (T = -2.78, p = 0.007) than the LBP group (24.6 ± 4.2 s vs. 20.5 ± 6.7 s). For the relative kinematic stability, there was a difference in dominance side (F = 9.91, p = 0.003). There was a group interaction between side and lower extremities (F = 11.79, p = 0.001) as well as an interaction between age and dominance side (F = 7.91, p = 0.007). The relative kinematic stability had a moderate negative relationship with age (r = -0.60, p = 0.007) in subjects without LBP. Clinicians need to understand the effects of age and relative stability, which decreased significantly in the single leg holding test, in subjects with LBP in order to develop effective rehabilitation strategies.

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Motor cortex representation of deep and superficial neck flexor muscles in individuals with and without neck pain

Cancino

Marinovic

Jull

et al. 2019

Human Brain Mapping

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Sensorimotor control of neck muscles differs between individuals with and without pain. Differences in the primary motor cortex (M1) maps of these muscles may be involved. This study compared M1 representations of deep (DNF) and superficial (SNF) neck flexor muscles between 10 individuals with neck pain (NP) and 10 painfree controls. M1 organisation was studied using transcranial magnetic stimulation (TMS) applied to a grid over the skull and surface electromyography of DNF (pharyngeal electrode) and SNF. Three‐dimensional maps of M1 representation of each muscle were generated. Peaks in the SNF map that represented the sternocleidomastoid (SCM) and platysma muscles were identified. Unique centre of gravity (CoG)/map peaks were identified for the three muscles. In comparison to painfree controls, NP participants had more medial location of the CoG/peak of DNF, SCM, and platysma, greater mediolateral variation in DNF CoG (p = 0.02), fewer SNF and DNF map peaks (p = 0.01). These data show that neck flexor muscle M1 maps relate to trunk, neck, and face areas of the motor homunculus. Differences in M1 representation in NP have some similarities and some differences with observations for other musculoskeletal pain conditions. Despite the small sample size, our data did reveal differences and is comparable to other similar studies. The results of this study should be interpreted with consideration of methodological issues.

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Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain

Cited by 91 publications

References 35 publications

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Motor cortex representation of deep and superficial neck flexor muscles in individuals with and without neck pain

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